Arsalo A, Louhimo I, Santavuori P, Valtonen S
Childs Brain. 1977;3(2):79-86. doi: 10.1159/000119653.
In an unselected material of 22 consecutive patients subdural effusion, which did not respond to repeated taps, was treated with subdural-pleural shunt operation using nonvalve silicone catheters. After a mean follow-up time of 3 years 4 months, 17 patients (77%) were mentally and 15 patients (69%) neurologically normal. The results are certainly not worse than results achieved with craniotomies and membranectomies. A shunt operation is more simple and less hazardous than membranectomy and we agree with the opinion that the latter is an obsolete procedure in the treatment of persistent subdural effusions.
在一组未经挑选的连续22例硬膜下积液患者中，那些对反复穿刺治疗无效的患者接受了使用无瓣膜硅胶导管的硬膜下-胸膜分流手术治疗。平均随访3年4个月后，17例患者（77%）精神状态正常，15例患者（69%）神经功能正常。这些结果肯定不比开颅手术和膜切除术的结果差。分流手术比膜切除术更简单，危险性更小，我们同意这样的观点，即膜切除术在治疗持续性硬膜下积液方面是一种过时的手术方法。
